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Individual

SHELLEY R ST. GERMAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1314 19TH AVE, MERIDIAN, MS 39301
(601) 703-4282
(601) 703-4597
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301
(601) 703-9687
(601) 703-9920

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R866144
MS
367500000X
Certified Registered Nurse Anesthetist
RNA223001
ME

Other

Enumeration date
06/30/2009
Last updated
02/15/2022
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